Individual provider · Type 1 NPI

Tyler David Sommer, PA-C

Medical Physician Assistant · Provo, UT

NPI number 1801223425 Active

Practice location

589 S State St
Provo, UT 84606-5056

Call (801) 429-2000 Map

Mailing address

1172 S 950 E, Suite 220
Springville, UT 84663-2808

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X9557562-1206 (UT)
Physician Assistant 363A00000X11474 (MN)

Medical Physician Assistant: Definition to come...

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About NPI 1801223425

Tyler David Sommer, PA-C's National Provider Identifier is 1801223425, issued on Sep 27, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Provo, UT. The record was last updated on Jul 21, 2022.